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Zongo N, Ouedraogo NLM, Windsouri M, Yameogo LSC, Kouchika Chabi TR, Niamba P, Traore A. Skin oncoplasties: O-to-Z technique a technique of choice in situation of limited resources? Case of Burkina Faso. World J Surg Oncol 2022; 20:113. [PMID: 35392926 PMCID: PMC8988396 DOI: 10.1186/s12957-022-02580-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2021] [Accepted: 03/11/2022] [Indexed: 11/12/2022] Open
Abstract
Background In developing countries, the long delays in consultation lead to a delay in diagnosis and management of the skin tumors. The lesions are often large and bring the problem of skin coverage after their resections. Several reconstruction techniques allow skin coverage. The objective of this study is to describe the place of O-to-Z technique in the surgical treatment of skin cancers in Ouagadougou. We hypothesized that O-to-Z technique reduces healing times and the number of dressings compared with directed wound healing. Patients and methods It was a two-center, retrospective, descriptive study on O-to-Z technique in skin cancers. It included patients who underwent surgery between January 1st, 2013 and March 30th, 2021 in Ouagadougou. Scar quality and healing time in Z-plasty were compared with those of secondary healing. We used the Student’s t test. Results In 8 years and 3 months, 171 skin cancers were identified. The mean time to consultation was 13.6 months. The average size of the tumors was 9 cm. An O-to-Z technique was performed in 42 cases, being 58.3% of the patients operated on. The average healing time was 15 days. It was four and a half times shorter in O-to-Z technique than in secondary healing. Ischemic necrosis of the Z-corner was noted in 7 cases. The recurrence rate in O-to-Z technique and secondary healing was 7.1% and 9.1% respectively. Hypertrophic or keloidal scars were noticed in 7 cases and hypochromia in 2 cases. Conclusion O-to-Z technique is a technique of choice for skin coverage after large resections in surgical oncology. It reduces the healing time and the cost of postoperative care without increasing the risk of tumor recurrence. Supplementary Information The online version contains supplementary material available at 10.1186/s12957-022-02580-8.
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Affiliation(s)
- Nayi Zongo
- General and Oncology Surgery, Yalgado Ouedraogo Teaching Hospital, Ouagadougou, Burkina Faso. .,Surgical Oncology, Joseph Ki-Zerbo University, Ouagadougou, Burkina Faso.
| | - N L Marie Ouedraogo
- Saint Camille Hospital in Ouagadougou, Surgical Pole, Ouagadougou, Burkina Faso
| | - Mamadou Windsouri
- General Surgery, Tengandogo Teaching Hospital, Ouagadougou, Burkina Faso
| | - Laure S C Yameogo
- General Surgery, Tengandogo Teaching Hospital, Ouagadougou, Burkina Faso
| | | | - Pascal Niamba
- Dermatology, Yalgado Ouedraogo Teaching Hospital, Ouagadougou, Burkina Faso
| | - Adama Traore
- Dermatology, Yalgado Ouedraogo Teaching Hospital, Ouagadougou, Burkina Faso
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Du W, Jiang H, Cheng L, Zhang Y, Qin F, Shen Y. Ectopic implantation salvage of the left thumb to reconstruct the right thumb after electrical injury: a case report. J Burn Care Res 2021; 43:499-503. [PMID: 34850015 DOI: 10.1093/jbcr/irab223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
The incidence rate of electrical injury has remained stable, while the absolute case number has increased. Amputations, erosions, occlusions, and delayed blood vessel rupture are the common complications. Ectopic implantation salvage has been performed widely in mechanical trauma patients, to preserve viable or possibly viable tissues and organ, without application in the electrical injury patients to the best of our knowledge. Here, we present a case report involving ectopic implantation salvage of the left thumb before contralateral transplantation to the right hand after high-voltage electrical injury. The patient's left thumb remained viable despite necrosis of the left forearm at 3 weeks post-injury. After debridement, we implanted the left thumb to his thigh where it was anastomosed to the lateral circumflex femoral artery's descending branch and great saphenous vein. We replanted the left thumb on the right hand with fixation 6 weeks later. The reassembled right hand remained well-circulated 11 months post-reconstruction. We believe this case supports broadening the indication for ectopic implantation salvage surgeries to patients who sustain electrical injuries.
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Affiliation(s)
- Weili Du
- Department of Burns, Beijing Jishuitan Hospital, Xinjiekoudongjie Street 31, Xicheng District, Beijing City, PR, China.,Peking University Fourth School of Clinical Medicine, Xinjiekoudongjie Street 31, Xicheng District, Beijing City, PR, China
| | - Huihao Jiang
- Department of Burns, Beijing Jishuitan Hospital, Xinjiekoudongjie Street 31, Xicheng District, Beijing City, PR, China.,Peking University Fourth School of Clinical Medicine, Xinjiekoudongjie Street 31, Xicheng District, Beijing City, PR, China
| | - Lin Cheng
- Department of Burns, Beijing Jishuitan Hospital, Xinjiekoudongjie Street 31, Xicheng District, Beijing City, PR, China
| | - Ying Zhang
- Department of Burns, Beijing Jishuitan Hospital, Xinjiekoudongjie Street 31, Xicheng District, Beijing City, PR, China
| | - Fengjun Qin
- Department of Burns, Beijing Jishuitan Hospital, Xinjiekoudongjie Street 31, Xicheng District, Beijing City, PR, China
| | - Yuming Shen
- Department of Burns, Beijing Jishuitan Hospital, Xinjiekoudongjie Street 31, Xicheng District, Beijing City, PR, China.,Peking University Fourth School of Clinical Medicine, Xinjiekoudongjie Street 31, Xicheng District, Beijing City, PR, China
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3
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Arumugam P, Walia H, Talele B, Sharma S. Arterial rupture: A delayed sequela of burn injury. INDIAN JOURNAL OF BURNS 2020. [DOI: 10.4103/ijb.ijb_13_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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